2015 Medicaid Income Limits & Medicare Premiums

Medicaid Key Numbers for 2015

The new minimum community spouse resource allowance (CSRA) is $23,844 and the new maximum CSRA is $119,220.

The new maximum monthly maintenance needs allowance is $2,980.50. The minimum monthly maintenance needs allowance remains $1,966.25 until July 1, 2015.

Medicaid Waiver Benefits Income Cap for home care for home care in PA and NJ and assisted living in NJ only is $2,199.00 per month.

Pennsylvania Medicaid penalty divisor is 293.15 per day or $8,916.65 per month.

New Jersey Medicaid penalty divisor is $313.50 per day or $9,535.62 per month.

Medicare Premiums, Deductibles and Copayments for 2015

• Part B premium: $104.90/month (unchanged)
• Part B deductible: $147 (unchanged)
• Part A deductible: $1,260 (was $1,216 in 2014)
• Co-payment for hospital stay days 61-90: $315/day (was $304 in 2014)
• Co-payment for hospital stay days 91 and beyond: $630/day (was $608 in 2014)
• Skilled nursing facility co-payment, days 21-100: $157/day (was $152 in 2014)

Premiums for higher-income beneficiaries:

• Individuals with annual incomes between $85,000 and $107,000 and married couples with annual incomes between $170,000 and $214,000 will pay a monthly premium of $146.90 (unchanged).
• Individuals with annual incomes between $107,000 and $160,000 and married couples with annual incomes between $214,000 and $320,000 will pay a monthly premium of $209.80 (unchanged).
• Individuals with annual incomes between $160,000 and $214,000 and married couples with annual incomes between $320,000 and $428,000 will pay a monthly premium of $272.70 (unchanged).
• Individuals with annual incomes of $214,000 or more and married couples with annual incomes of $428,000 or more will pay a monthly premium of $335.70 (unchanged).

Social Security Benefit Changes for 2015

Monthly federal Supplemental Security Income (SSI) payment standard will be $733 for an individual and $1,100 for a couple.

Maximum amount of earnings subject to Social Security taxation: $118,500 (was $117,000)